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Clinical characteristics and mechanism of liver damage in patients with severe acute respiratory syndrome.

Identifieur interne : 002878 ( PubMed/Curation ); précédent : 002877; suivant : 002879

Clinical characteristics and mechanism of liver damage in patients with severe acute respiratory syndrome.

Auteurs : Zhang Yang [République populaire de Chine] ; Min Xu ; Jun-Qing Yi ; Wei-Dong Jia

Source :

RBID : pubmed:15730921

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English descriptors

Abstract

Abnormal liver function was found in patients with severe acute respiratory syndrome (SARS). This study was undertaken to explore the clinical characteristics and mechanisms of liver damage.

PubMed: 15730921

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pubmed:15730921

Le document en format XML

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<title xml:lang="en">Clinical characteristics and mechanism of liver damage in patients with severe acute respiratory syndrome.</title>
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<name sortKey="Yang, Zhang" sort="Yang, Zhang" uniqKey="Yang Z" first="Zhang" last="Yang">Zhang Yang</name>
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<nlm:affiliation>Guangzhou No.8 People's Hospital, Guangzhou 510060, China. yangzhangz@21cn.com</nlm:affiliation>
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<name sortKey="Xu, Min" sort="Xu, Min" uniqKey="Xu M" first="Min" last="Xu">Min Xu</name>
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<name sortKey="Yi, Jun Qing" sort="Yi, Jun Qing" uniqKey="Yi J" first="Jun-Qing" last="Yi">Jun-Qing Yi</name>
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<name sortKey="Jia, Wei Dong" sort="Jia, Wei Dong" uniqKey="Jia W" first="Wei-Dong" last="Jia">Wei-Dong Jia</name>
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<term>Alanine Transaminase (analysis)</term>
<term>Anti-Bacterial Agents</term>
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<term>Comorbidité</term>
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<term>Immunohistochimie</term>
<term>Incidence</term>
<term>Indice de gravité médicale</term>
<term>Loi du khi-deux</term>
<term>Maladies du foie (anatomopathologie)</term>
<term>Maladies du foie (épidémiologie)</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Liver Diseases</term>
<term>Severe Acute Respiratory Syndrome</term>
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<term>SARS Virus</term>
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<term>Virus du SRAS</term>
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<term>Liver Diseases</term>
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<term>Drug Therapy, Combination</term>
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<term>Association de médicaments</term>
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<term>Chine</term>
<term>Maladies du foie</term>
<term>Syndrome respiratoire aigu sévère</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Age Distribution</term>
<term>Anti-Bacterial Agents</term>
<term>Biopsy, Needle</term>
<term>Chi-Square Distribution</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Incidence</term>
<term>Liver Function Tests</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Regression Analysis</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Severity of Illness Index</term>
<term>Sex Distribution</term>
<term>Survival Rate</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Antibactériens</term>
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<term>Loi du khi-deux</term>
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<front>
<div type="abstract" xml:lang="en">Abnormal liver function was found in patients with severe acute respiratory syndrome (SARS). This study was undertaken to explore the clinical characteristics and mechanisms of liver damage.</div>
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<DateCompleted>
<Year>2005</Year>
<Month>04</Month>
<Day>06</Day>
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<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<ISSN IssnType="Print">1499-3872</ISSN>
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<Month>Feb</Month>
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<Title>Hepatobiliary & pancreatic diseases international : HBPD INT</Title>
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<ArticleTitle>Clinical characteristics and mechanism of liver damage in patients with severe acute respiratory syndrome.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Abnormal liver function was found in patients with severe acute respiratory syndrome (SARS). This study was undertaken to explore the clinical characteristics and mechanisms of liver damage.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The serial laboratory data of liver function test and hepatic histological examination from 168 patients with SARS were retrospectively analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The abnormalities of serum alanine aminotransferase (ALT) were 52.5%, 71.8%, 85.7% and 85.2%. The average levels of ALT of the patients were 56.07+/-51.57 U/L, 86.46+/-69.93 U/L, 106.69+/-102.50 U/L and 111.32+/-160.24 U/L, and the average levels of serum albumin were 37.25+/-5.37 g/L, 35.82+/-4.74 g/L, 34.49+/-5.04 g/L, and 34.26+/-4.70 g/L, at the day of admission, the first week, second week, and third week after hospitalization, respectively. Significant correlation was not shown among liver damage, blood oxygen saturation (SaO2), degree of fever, and immune functional disorder in this study. Hepatic histological examination of 4 patients demonstrated that non-specific inflammation existed in the liver.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Liver damage of patients with SARS usually occurs in the early stage of the disease with a high occurrence rate and a prolonged profile, which can be characterized by early, obvious decrease of albumin levels and slightly abnormal levels of ALT. The liver damage induced by SARS seems to be caused by SARS virus directly rather than by low SaO2 or high fever. Hepatotoxic drugs may play a role in increasing the severity of liver damage or prolonging the time of liver function recovery.</AbstractText>
</Abstract>
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<LastName>Yang</LastName>
<ForeName>Zhang</ForeName>
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<Affiliation>Guangzhou No.8 People's Hospital, Guangzhou 510060, China. yangzhangz@21cn.com</Affiliation>
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<ForeName>Wei-Dong</ForeName>
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<Language>eng</Language>
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<Country>Singapore</Country>
<MedlineTA>Hepatobiliary Pancreat Dis Int</MedlineTA>
<NlmUniqueID>101151457</NlmUniqueID>
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